Individual provider Active NPI

Shanika Reid, NP

  • Family Nurse Practitioner
  • Eastchester, NY
National Provider Identifier
1639899289
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348526 Issued in NY
Practice address
375 White Plains Rd
Eastchester, NY 10709-2826
Phone
(347) 500-6057
NPI assigned
Sep 1, 2022
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348526 NY Primary

Addresses

Primary practice location

375 White Plains Rd
Eastchester, NY 10709-2826

Mailing address

17412 Pidgeon Meadow Rd
Flushing, NY 11365-1139
Phone (347) 500-6057

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHANIKA.REID@lc.cuny.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629000239 NY Practitioner - Nurse Practitioner 4183083835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians

Practice addresses (Care Compare)

1440 Broadway
New York, NY 10018-2301
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as group
Quality
73.41
Improvement activities
40
Cost
81.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348526NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Josef Schenker MD PC CurrentSince Oct 24, 2023 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince May 21, 2023 Accepting new patients

Locations

3101 Ditmars Blvd
Astoria, NY 11105
Phone (718) 545-0128

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

6122 Fresh Pond Rd
Middle Vlg, NY 11379
Phone (718) 502-3000

1440 Broadway
New York, NY 10018
Phone (212) 221-3844

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: shanika.reid@lc.cuny.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1639899289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17412 PIDGEON MEADOW RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113651139",
            "telephone_number": "347-500-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WHITE PLAINS RD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107092826",
            "telephone_number": "347-500-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SHANIKA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHANIKA.REID@lc.cuny.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1 Brookdale Plz",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112123139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.